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1508125196
ETHIGEN, LLC
SALT LAKE CITY, UT
NPI
1508125196
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Entity Type
Organization
Authorized Contact
ERIC M DYER
President, CEO
888-578-7872
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
ETHIGEN, LLC
1904 MICHIGAN AVE
SALT LAKE CITY, UT 84108-1324
Phone number: 888-578-7872
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Mailing Address
ETHIGEN, LLC
1904 MICHIGAN AVE
SALT LAKE CITY, UT 84108-1324
Phone number: 888-578-7872
Copy
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